10.16:

Accountability and Responsibility of a Nurse II

JoVE Core
Nursing
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JoVE Core Nursing
Accountability and Responsibility of a Nurse II

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01:09 min

June 20, 2024

Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.

For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort during distressing procedures, or support a family member coping with a loved one's illness. These actions reinforce the trust and confidence patients and families place in nursing.

Another critical aspect of a nurse's accountability is adhering to professional standards mandated by law, such as employing evidence-based practices. It might involve staying updated on the latest treatment protocols for chronic pain management and applying this knowledge to enhance patient care.

Monitoring patient care quality and ensuring safe and effective care delivery are also essential. It involves participating in quality improvement initiatives to reduce hospital-acquired infections.

Taking responsibility for one's actions and decisions is central to nursing accountability. For instance, promptly reporting a medication error, analyzing its contributing factors, and seeking educational opportunities to prevent future errors exemplify accountability and improve patient safety and care quality.

Safeguarding patient confidentiality is another cornerstone of professional accountability. Nurses must protect patient records and sensitive information, ensuring that private discussions about a patient's condition are secure. Access to electronic health records is restricted to authorized personnel only. It protects patient privacy through health information privacy laws.

Adhering to established guidelines for safe and effective practice standards is crucial. It includes following strict protocols for hand hygiene, sterile techniques during procedures, and adherence to patient safety regulations to minimize infection risks and ensure patient well-being.

Furthermore, nurses must comply with relevant laws, such as the Health Insurance Portability and Accountability Act, to ensure confidentiality and security when handling patient information.

Finally, meeting an employer's expectations, including compliance with codes of conduct, policies, and procedures, is essential. It might involve adhering to hospital uniform and identification badge display policies, ensuring that professional appearance and conduct align with the organization's standards.

In summary, professional accountability in nursing is vital for ensuring high-quality, safe, and effective care. It involves a commitment to ethical practice, legal compliance, continuous improvement, and respect for individual rights and dignity.